Sotyktu enrollment form

FAX Completed Form and Applicable Progress Notes to: (410) . Sotyktu Prior Authorization Request Form Created Date:

The purpose of this enrollment is to assist the patient in receiving Sotyktu. 6 mg tablets. Take 1 tablet by mouth daily. Take 1 tablet by mouth daily.

Sotyktu is indicated for the treatment of adults with Member is currently receiving medication and is enrolled in a state and product.

STEP 1: Complete your enrollment form (aka SOTYKTU Start Form). Enroll in SOTYKTU 360 SUPPORT with your dermatologist and save our number to your phone. Add

Enrollment complete. Data as of Ma, and as presented at Sotyktu 3 mg bid dose (6 mg qd dose approved). Wk 12 primary

Sotyktu Cost?Treatment with Sotyktu is expected to cost $14,409 per patient per year.Deucravacitinib (Sotyktu) 2. CADTH Reimbursement Recommendation

SOTYKTU Enrollment Form. (aka SOTYKTU Start Form) To get you started on SOTYKTU, you and your doctor will fill out. an enrollment form. If you d like to take a look or. need to access this form at any time, you can find it here. DOWNLOAD NOW. SUBMIT AUTHORIZATION ELECTRONICALLY. DOWNLOAD (EN ESPA OL)

STEP 1: Complete your enrollment form to learn how you may be able to access therapy and affordability options for eligible patients, including the SOTYKTU Co-Pay Assistance Program STEP 2: Answer the phone call from your dedicated SOTYKTU Support Coordinator STEP 3: Set up your first prescription shipment

Enrollment and retention of subjects in clinical trials is expensive and Sotyktu, marketed by Bristol Myers Squibb; topical